The patient complains of a painful and tender ulcer in the vulva. Confirmation is done by biopsy. The medical treatment is the same as that outlined in pelvic tuberculosis. In unresponsive cases, local vulvectomy is to be done.
The presenting complaints are mucopurulent discharge and postcoital bleeding. Cervical tuberculosis on speculum examination appears as an ulcerated or hypertrophic growth which bleeds on touch.
Cervical cytology: may reveal multinucleated giant cells, epithelioid cells and dyskaryotic cells. Biopsy confirms the diagnosis. Antitubercular drug therapy as outlined in pelvic tuberculosis is prescribed. In unresponsive cases, hysterectomy is justified.
Chronic PID: The term chronic pelvic inflam-matory disease has largely been abandoned. The longterm sequelae of acute PID such as adhesions or hydrosalpinx are bacteriologically sterile.
True chronic PID such as genital tuberculosis and actinomycosis is less although the former is not infrequent in the developing countries.
The macroscopic findings of papillary or vegetative growths, a miliary appearance,an ulceration may be misinterpreted as invasive cancer of the cervix.
The medicines that can be thought to use are:-
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